Indian Journal of Applied Basic Medical Sciences Year: 2020, Volume: 22(B), Issue. (2) First page: (174) Last page: (195) Online ISSN: 2249-7935 Print ISSN: 0975-8917 doi:10.48165/ijabms.2020.22214
Comparison of Intrathecal Bupivacaine With Nalbuphine and Bupivacaine With Fentanyl in Inguinal Hernia Surgery
Sushmita K Shah1, Drashti A Vavadia 2, Vidhi A Gajjar3, Pinal Bhikadiya4,Aishwarya Raj5,Vibhuti Shah6
1Assistant Professor, 23rd year resident, 3Assistant Professor,42nd year resident,51st year resident,6Professor and HOD Department AMC MET MEDICAL COLLEGE, LG HOSPITAL, Maninagar, Ahmedabad
Corresponding author email id: Drashtivavadia27@gmail.com
Sushmita K Shah email id : email@example.com
Online Published on 02-July-2020
CONTEXT Opioids as an adjuvant to hyperbaric Bupivacaine improves perioperative analgesia with minimal side effects. AIM-The aim of the study is to compare the effect of intrathecal Nalbuphine and Fentanyl as adjuvants to hyperbaric Bupivacaine on onset and duration of sensory blockade, onset and duration of motor blockade, two segment sensory regression time, duration of effective postoperative analgesia and incidence of side effects. STUDY DESIGN Prospective observational study ETHICAL ASPECT AND METHODS After all ethical committee clearance and written informed consent, 60 patients of ASA grade I and II undergoing inguinal hernia surgery will be randomly divided into two groups: Group I – 0.5 % Bupivacaine(heavy) 3 ml + Nalbuphine 0.1 ml (1 mg) and Group II – 0.5% Bupivacaine(heavy) 3 ml + Fentanyl 0.5 ml (25 µg). RESULT There was no significant difference in onset ofsensory and motor blockade.Duration of sensory blockade was significantly prolonged (111.42 ± 9.21 min) in Group I than in Group II (102.32 ± 6.45 min) and duration of motor block was significantly extended in patients of Group I(144.65± 15.12 min) than Group II (130.42 ±11.12 min). The duration of effective analgesia was significantly more in group I than group II, with no significant side effects. CONCLUSION-1 mg Nalbuphine in 3 ml 0.5% hyperbaric Bupivacaine in patients increases the duration of sensory and motor block as compared to Fentanyl as well as provides effective analgesia time more than Fentanyl in patients scheduled for inguinal hernia surgery under subarachnoid block.
Bupivacaine, Fentanyl, Nalbuphine, Spinal Anaesthesia, Inguinal Hernia Surgery.